DEPARTMENT OF INSURANCE

Affiliations

Name	Quigley, Thomas J	DOIID	385665	NAIC NPN	399129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/9/1995	7/13/2006
Inactive	Non Resident	Agent	Health	8/9/1995	7/13/2006
Inactive	Non Resident	Agent	Health Maintenance Organization	2/24/1999	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	3/1/2001	7/13/2006
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	11/4/1999	3/1/2001
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/17/2001	7/13/2006
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/17/2001	7/13/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/28/2000	7/13/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/28/2000	7/13/2006
Inactive	American Fidelity Assurance Company	301004	Agent - Health	12/26/2001	6/3/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Life	12/26/2001	6/3/2004
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/6/2005	7/13/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/6/2005	7/13/2006
Inactive	American Public Life Insurance Company	300252	Agent - Health	6/5/2003	4/4/2005
Inactive	American Public Life Insurance Company	300252	Agent - Life	6/5/2003	4/4/2005
Inactive	American United Life Insurance Company	300498	Agent - Health	6/18/1996	12/16/1996
Inactive	American United Life Insurance Company	300498	Agent - Life	6/18/1996	12/16/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/6/2003	1/27/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/6/2003	1/27/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/1/2002	7/13/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/1/2002	7/13/2006
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	8/26/1999	11/10/1999
Inactive	Augustar Life Insurance Company	301816	Agent - Life	8/26/1999	11/10/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/5/1999	3/29/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/14/2002	7/13/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/5/1999	7/13/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Health	6/29/1999	7/13/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/29/1999	7/13/2006
Inactive	General American Life Insurance Company	300280	Agent - Health	6/7/2001	7/13/2006
Inactive	General American Life Insurance Company	300280	Agent - Life	6/7/2001	7/13/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/9/1995	4/3/1996
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/9/1995	4/3/1996
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/1/2001	7/13/2006
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	2/24/1999	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/13/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/24/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	2/24/1999	7/13/2006
Inactive	Humana Insurance Company	301104	Agent - Life	2/24/1999	7/13/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2004	7/13/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/30/2004	7/13/2006
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	7/13/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/9/1996	4/10/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/9/1996	4/10/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/22/2005	7/13/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/22/2005	7/13/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/12/2003	6/14/2004
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/12/2003	6/14/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	4/8/1996	3/9/2001
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/14/2000	7/13/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/14/2000	7/13/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/31/2002	11/2/2005
Inactive	Professional Insurance Company	301281	Agent - Health	9/20/2005	7/13/2006
Inactive	Professional Insurance Company	301281	Agent - Life	9/20/2005	7/13/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Health	1/22/1999	7/13/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Life	1/22/1999	7/13/2006
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	6/4/2001	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	6/4/2001	9/20/2004
Inactive	Time Insurance Company	300683	Agent - Health	3/16/2001	6/9/2003
Inactive	Time Insurance Company	300683	Agent - Life	3/16/2001	6/9/2003
Inactive	USG Annuity & Life Company	300457	Agent - Health	10/23/1995	5/14/1996
Inactive	USG Annuity & Life Company	300457	Agent - Life	10/23/1995	5/14/1996
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/18/2002	7/13/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/18/2002	7/13/2006
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/27/2004	7/13/2006
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/27/2004	7/13/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/18/2004	7/13/2006
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/1/2001	7/13/2006
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health Maintenance Organization	7/3/2000	3/1/2001
Inactive	West Coast Life Insurance Company	301607	Agent - Life	7/12/2002	12/29/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/12/2003	7/13/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/12/2003	7/13/2006
Inactive	Total Benefits Planning Agency Inc	621860	Agent - Life	12/12/2005	7/13/2006
Inactive	Total Benefits Planning Agency Inc	621860	Agent - Health	12/12/2005	7/13/2006